Congenital Anomalies of Uvea
Congenital Anomalies of Uvea
Congenital Anomalies of Uvea
4/22/12
There are various types of congenital anomalies of uveal tract: Heterochromia of iris Corectopia Polycoria Congenital aniridia Persistent pupillary membrane Congenital coloboma of uveal tract Albinism
4/22/12
HETEROCHROMIA
It refers to variations in the iris colour. It is usually of two types: 1) HETEROCHROMIA IRIDIUMColour of one iris differs from other. 2) HETEROCHROMIA IRIDISothers.
4/22/12
DIFFERENTIAL DIAGNOSIS:
SIDEROSIS MALIGNANT MELANOMA OF IRIS HETEROCHROMATIC CYCLITIS
4/22/12
CORECTOPIA
It refers to abnormally eccentric placed pupil. More usually shifted to the nasal side.
4/22/12
CONGENITAL ANIRIDIA(IRIDEMIA)
Congenital absence of iris. TRUE ANIRIDIArare) Complete absence of iris.( extremely
CLINICAL ANIRIDIAPresence of peripheral rim of iris . Zonules of lens and ciliary processes are often present.
COMPLICATIONS:
4/22/12
4/22/12
4/22/12
CONGENITAL COLOBOMA
Absence of tissue of iris, ciliary body & choroid. PATHOGENESIS: Defective closure of embryonic cleft. This leads to maldevelopment of uveal & retinal tissues. TYPES OF COLOBOMAS:
1) Typical coloboma4/22/12
4/22/12
FEATURES OF COLOBOMA:
Oval or comet shaped defect with rounded
surface( both retinal & choroidal) . depressed( ectatic coloboma). a scotoma corresponding to the coloboma.
Central vision is very poor & there may be High risk of retinal detachment & laser
4/22/12 delimitation.
ALBINISM
Hereditary condition in which there is defective development of pigment throughout the body. It is of 3 types: 1) OCULARFurther subdivided on the basis of tyrosinase test. 2) OCULOCUTANEOUS 3) CUTANEOUS
4/22/12
4/22/12
FEATURES:
Iris looks pink & dazzling glare. Nystagmus, photophobia & defective vision. Occasionally strabismus. Greater clarity of retinal & choroidal vessels
on ophthalmoscopy.
Vessels are seperated by glistening white
spaces.
TREATMENT: glare.
4/22/12
THANK
4/22/12